How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,981.07 | Professional | None | $3,801.89 | $3,801.89 | $3,981.07 |
CareFirst Setting Professional Modifier None Typical Low $3,890.45 Median $4,365.16 Typical High $4,365.16 | Professional | None | $3,890.45 | $4,365.16 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $4,570.88 Typical High $7,585.78 | Facility | None | $512.86 | $4,570.88 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $6,760.83 | Professional | None | $2,951.21 | $3,715.35 | $6,760.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,630.78 Median $4,073.80 Typical High $6,760.83 | Professional | None | $3,630.78 | $4,073.80 | $6,760.83 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $5,754.40 | Facility | None | $1,288.25 | $2,511.89 | $5,754.40 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $3,630.78 Typical High $8,128.31 | Professional | None | $2,818.38 | $3,630.78 | $8,128.31 |
Wellpoint Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $5,495.41 | Professional | None | $3,388.44 | $3,388.44 | $5,495.41 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,905.46 Median $1,905.46 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,905.46 | $1,905.46 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $758.58 Typical High $794.33 | Professional | 53 · Discontinued | $758.58 | $758.58 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $2,818.38 Typical High $2,951.21 | Professional | 54 · Surgery only | $2,818.38 | $2,818.38 | $2,951.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $562.34 Typical High $588.84 | Professional | 55 · Aftercare only | $562.34 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $380.19 Typical High $398.11 | Professional | 56 · Pre-op care only | $380.19 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $2,630.27 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $2,630.27 | $2,630.27 | $2,754.23 |
Where Maryland sits
The same service costs 20.4 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Maryland· 40th of 51
$3,890
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.